Basic Information
| Provider Information | |||||||||
| NPI: | 1083671580 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STENDER | ||||||||
| FirstName: | SARAH RICE | ||||||||
| MiddleName: | SANDLIN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2625 E DIVISADERO ST | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937211431 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 7060 N RECREATION AVE STE 101 | ||||||||
| Address2: | |||||||||
| City: | FRESNO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 937208022 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5593255656 | ||||||||
| FaxNumber: | 5593255568 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | G143674 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | 2080A0000X | G143674 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Adolescent Medicine | 2080P0205X | G143674 | CA | N | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Endocrinology |
ID Information
| ID | Type | State | Issuer | Description | 1144011 | 05 | LA | MEDICAID | 3870167 | 05 | TN | MEDICAID | MD.203426 | 01 | LA | STATE LICENSE | OTHER |